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Kelly Elizabeth Fennelly, DMD
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1164928560

Kelly Elizabeth Fennelly is a Student in an Organized Health Care Education/Training Program based in Pompton Plains, NY. Kelly Elizabeth Fennelly practices in Syracuse, NY and has the professional credentials of DMD. The NPI Number for Kelly Elizabeth Fennelly is 1164928560 and holds a License No. (New York).

The current practice location address for Kelly Elizabeth Fennelly is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-4148.

Location: 750 E Adams St, Syracuse, NY, 07444-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164928560
Provider Name
Kelly Elizabeth Fennelly
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
750 E Adams St, Syracuse, NY, 07444-1707
Phone Number
315-464-4148
Fax Number
Provider Enumeration Date
04/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4148
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4148
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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